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Biomedical subjects

J A Stephens

Publications and source records attributed to J A Stephens.

At least 37 records · Page 2Linked to original sources

Mirror movements in X-linked Kallmann's syndrome. II. A PET study.

To investigate the mechanism of mirror movements seen in X-linked Kallmann's syndrome, we measured changes of regional cerebral blood flow with H2 15O-PET. We studied six right-handed Kallmann male subjects and six matched, right-handed control subjects during an externally paced finger opposition task. The analyses were done both on a single subject and a group basis. The Kallmann group showed a strong primary motor cortex (M1) activation contralateral to the voluntarily moved hand, but there was also a significant degree of M1 activation ipsilateral to the voluntarily moved hand, i.e. contralateral to the mirroring hand. However, when comparing contralateral to ipsilateral M1 activation, the M1 activation contralateral to the voluntarily moved hand was significantly stronger. In the controls, significant increases in rCBF were seen in the contralateral M1 during voluntary movement of either hand; a small ipsilateral M1 activation was found in two out of six normal subjects when they moved their left hand. In a second experiment it was shown that, in two out of two Kallmann subjects, passive movements of the right hand resulted in left M1 activation that was similar to the activation in the left M1 when subjects made mirror movements with their right hand. This suggests, but does not prove, that the small but significant activation of the ipsilateral M1 in Kallmann's subjects may be due to sensory feedback from the involuntarily mirroring hand.

Adolescent↗

Cutaneomuscular reflexes recorded from the lower limb in man during different tasks.

1. Cutaneomuscular reflexes have been recorded in ten adult subjects from extensor digitorum brevis (EDB), tibialis anterior (TA), soleus (Sol), quadriceps femoris (Quad) and erector spinae (ES) following electrical stimulation of the digital nerves of the second toe. 2. Recordings were made while subjects were instructed to activate voluntarily the relevant muscles and also when these muscles were active posturally. 3. Reflex responses could comprise three components: an initial increase in EMG (E1), followed by a decrease (I1), followed by a second increase (E2). E1 and I1 were confined to muscles acting at the ankle and in the foot. E2 was most pronounced in EDB but also found in TA, Sol, Quad (1 subject) and ES. No responses were recorded contralateral to the stimulus. 4. E2 was significantly larger when the reflex was recorded during voluntary contraction of the muscle, rather than when the muscle was active posturally. 5. E1 and I1 components are mediated via spinal pathways. E2 requires the integrity of the dorsal columns, sensorimotor cortex and corticospinal tract (Jenner & Stephens, 1982; Rowlandson & Stephens, 1985b). The present study suggests that one or more of these supraspinal pathways is more active during voluntary contraction of lower limb muscles than when these muscles are active posturally.

Adult↗

Organization of inputs to motoneurone pools in man.

1. Surface EMGs were recorded from pairs of muscles involved in movements of the wrist and/or digits in the upper limb and from pairs of intrinsic foot muscles in the lower limb during voluntary isometric contractions. 2. EMGs were also recorded from lower limb and trunk muscles during three different tasks: lying, standing and balancing. 3. To investigate if the co-contraction of muscles was due to the presence of a common drive to each of the two motoneurone pools, cross-correlation analysis of the two multiunit EMG signals was used. 4. Evidence for a common drive was seen between pairs of muscles that share a common joint or joint complex (such as the metacarpophalangeal joints); no evidence was found for a common drive to co-contracting muscles that did not share a common joint. 5. When considering analogous hand and foot muscle pairs, the degree of synchrony was significantly greater for lower limb pairs. 6. Where a common drive was detected with lower limb muscle pairs, the degree of synchrony was significantly larger during balancing than during either lying or standing. 7. The origin of the common drive is discussed. It is concluded that activity in both last-order branched presynaptic fibers and presynaptic synchronization is involved.

Adult↗

Evidence for bilateral innervation of certain homologous motoneurone pools in man.

1. Surface EMG recordings were made from left and right homologous muscle pairs in healthy adults. During each recording session subjects were requested to maintain a weak isometric contraction of both the left and right muscle. 2. Cross-correlation analysis of the two multiunit EMG recordings from each pair of muscles was performed. Central peaks of short duration (mean durations, 11.3-13.0 ms) were seen in correlograms constructed from multiunit EMG recordings obtained from left and right diaphragm, rectus abdominis and masseter muscles. No central peaks were seen in correlograms constructed from the multiunit EMG recordings from left and right upper limb muscles. 3. To investigate descending pathways to the homologous muscle pairs, the dominant motor cortex was stimulated using a focal magnetic brain stimulator whilst recording from homologous muscle pairs. 4. Following magnetic stimulation of the dominant motor cortex, a response was recorded from both right and left diaphragm, rectus abdominis and masseter muscles. In contrast, when recording from homologous upper limb muscles, a response was only seen contralateral to the side of stimulation. 5. The finding of short duration central peaks in the cross-correlograms constructed from multiunit recordings from left and right diaphragm, rectus abdominis and masseter, suggests that muscles such as these, that are normally co-activated, share a common drive. The mechanism is discussed and it is argued that the time course of the central correlogram peaks is consistent with the hypothesis that they could be produced by a common drive that arises from activity in last-order branched presynaptic fibres although presynaptic synchronization of last-order inputs is also likely to be involved. 6. The results of the magnetic stimulation experiments suggest that this common drive may involve the corticospinal tract. 7. We saw no evidence for a common drive to left and right homologous muscle pairs that may be voluntarily co-activated but often act independently.

Abdominal Muscles↗

Patterns of central motor reorganization in hemiplegic cerebral palsy.

Central motor reorganization was studied in 33 subjects with hemiplegic cerebral palsy. Corticospinal projections were investigated using focal magnetic stimulation of the motor cortex. Reflex pathways were examined with digital nerve stimulation. Cross-correlation analysis of multi-unit EMG was used to detect activity in branched common stem last order presynaptic inputs to motor neuron pools. The neurophysiological findings were related to the clinical outcome. In 21 of the subjects studied (64%), there was evidence for reorganization of central motor pathways. The clinical and neurophysiological findings revealed two different forms of reorganization. In both forms focal magnetic stimulation demonstrated novel ipsilateral motor pathways from the undamaged motor cortex to the hemiplegic hand. Ipsilateral projections were not demonstrated from the damaged motor cortex. Eleven subjects had intense mirror movements. In these subjects cross-correlation analysis and reflex testing suggested that corticospinal axons had branched abnormally and projected bilaterally to homologous motor neuron pools on both sides of the spinal cord. The remaining 10 subjects did not have intense mirror movements and in these subjects there was no evidence for last order branching of corticospinal axons. It was found that good function of the hemiplegic hand was associated with the presence of EMG responses in that hand following magnetic stimulation of the contralateral motor cortex. When EMG responses were absent, hand function was poor unless the subject had intense mirror movements.

Adolescent↗

Changes in motor unit synchronization following central nervous lesions in man.

1. Single motor unit spike trains have been recorded during voluntary isometric contraction of the affected intrinsic hand muscles of patients with unilateral central nervous lesions. These have been compared with similar recordings made from the patients' unaffected hand muscles and with recordings made from the hand muscles of healthy subjects. 2. Cross-correlation analysis was performed between the times of occurrence of the motor unit spike trains. The time course of central cross-correlogram peaks constructed for normal subjects and stroke patients was used to infer properties of the underlying common EPSPs and the impulse-generating properties of the motoneurones. The results of this analysis were compared between the two groups. In addition, the size and time course of cross-correlogram peaks obtained from the patients were related both to the patients' clinical state and to their hand and fine finger function. 3. Central nervous lesions were found to result in either a narrowing or broadening of the time course of motor unit synchronization. These changes were attributed either to an increase in the size of common EPSPs with respect to synaptic noise, or to the effects of presynaptic synchronization of motoneurone inputs. 4. Longitudinal studies of motor unit discharges in the year following the stroke demonstrated, in some patients, differences in the level of motor unit synchronization. These paralleled improvements in the patients' fine motor control. Pooled data from patients with varying deficits of fine motor control confirmed that loss or reduction of motor unit synchronization was associated with a corresponding slowing in the performance of rapidly alternating finger movements. 5. The results of the present study suggest that the branched common presynaptic inputs that generate motor unit synchronization are either of corticospinal tract origin or are intimately dependent on its function. Differences in the strength and time course of motor unit synchronization are demonstrated that may reflect the altered behaviour of presynaptic inputs to motoneurones following central nervous damage in man.

Adult↗

The frequency content of common synaptic inputs to motoneurones studied during voluntary isometric contraction in man.

1. The discharges of pairs of individual motor units were recorded from intrinsic hand muscles in man. Single motor unit recordings were obtained either when both members of the motor unit pair were within first dorsal interosseous muscle (1DI:1DI recordings) or where one motor unit was within 1DI and the other in second dorsal interosseous muscle (1DI:2DI recordings). The pairs of motor unit spike trains were cross-correlated in the time domain and the results compared to those of coherence analysis performed on the same spike train data. Central peaks were present in the cross-intensity functions, indicating the presence of common synaptic input to the motoneurone pair. Coherence analysis of these data indicated significant association between motor unit firing in the frequency ranges 1-12 and 16-32 Hz. 2. Analysis of sequential non-overlapping segments of data recorded from individual motor unit pairs, demonstrated that both the central cross-intensity peak and coherence in the frequency bands 1-12 and 16-32 Hz were consistent features throughout a long recording. In these sequential recordings, the size of the central cross-intensity peak and the maximal value of coherence in the frequency band 16-32 Hz covaried from segment to segment. Analysis of the entire population of motor unit pairs confirmed a positive relationship between the magnitude of peak coherence and the size of the central cross-intensity peak. 3. Voluntary sinusoidal co-modulation of the firing rates of pairs of individual motor units recorded from within 1DI was found to produce significant values of coherence corresponding to the frequency of the common modulation. However, firing rate co-modulation was not found to affect either the size of the central cross-intensity peak or the maximum value of coherence in the frequency band 16-32 Hz. 4. Pairs of single motor units were recorded from within 1DI and biceps brachii muscles of healthy subjects. The number and size of the central cross-intensity peaks and coherence peaks detected were compared for the two muscles. The incidence and size of central cross-intensity peaks and the incidence and magnitude of 16-32 Hz coherence peaks were both found to be greater for 1DI recordings when compared to biceps brachii recordings. 5. Single motor unit recordings were made from the intrinsic hand muscles of a patient with severe peripheral deafferentation. Time- and frequency-domain analysis of these recordings revealed cross-intensity peaks and frequency bands of coherence similar to those seen in healthy subjects.(ABSTRACT TRUNCATED AT 400 WORDS)

Adult↗

Cross-correlation analysis of multi-unit EMG recordings in man.

This paper discusses the measurement of synchrony between 2 multi-unit EMG recordings. The suitability of a number of previously described indices of synchrony is reviewed. A new index of synchronisation is proposed. This index is independent of the number of units contributing to the correlogram but is dependent upon their firing frequency and upon the bin width of the correlogram. The autospectral density function calculated from each multi-unit record is used to estimate motor unit firing rates. The relationship between the frequency of firing and the chosen index of synchronisation is reciprocal such that if the firing rate is doubled, the index is halved. This may be explained if the proportion of events that is synchronized remains constant and is independent of the firing rate. It is argued that this in turn indicates that the proportion of common and non-common sources driving the neurons also remains unchanged in these experiments. In these circumstances, and to take into account changes in unit firing that may be present in different recordings, it is convenient to normalize an experimentally determined index E/M at a frequency f to some standard frequency fs. The problem of superimposition of spikes that occurs as the contraction strength is increased is discussed.

Adult↗

Cutaneomuscular reflexes recorded from the first dorsal interosseous muscle of children with cerebral palsy.

Cutaneomuscular reflexes were recorded from the first dorsal interosseous muscles of 21 children with spastic cerebral palsy. The reflex responses in children with cerebral palsy were consistent with dysfunction of the pyramidal system, but differed from those seen in adults with central nervous lesions. This provides further evidence that the effect of a central nervous lesion on the reflex control of movement is dependent on whether it occurs in early or adult life.

Adolescent↗

Correlation between the discharges of motor units recorded from the same and from different finger muscles in man.

1. Cross-correlation analysis of the discharges of individual motor units recorded from various different finger muscles has been performed during weak, isometric, voluntary contractions in man. 2. The dominant feature in 88% of the cross-correlograms studied was a narrow, central peak, the area of which significantly exceeded that expected for independent processes (P less than 0.001). The highest bin counts in these central peaks were mostly within 5 ms of time zero in the histograms, and the base of these peaks extended between 5 and 31 ms (modal value = 13 ms with 90% of the values lying between 8 and 18 ms). The width and displacement of the central cross-correlogram peaks were similar irrespective of whether the contributory spike trains were recorded from motor units active in the same finger muscle or recorded from motor units in different, co-activated finger muscles. 3. The time course of the central peaks in this study was found to be consistent with the hypothesis that it is generated by the joint occurrence of EPSPs evoked in motoneurones by branches of common stem presynaptic fibres using the theoretical model developed by Kirkwood (Kirkwood & Sears, 1978). The model parameters providing the best fit with our experimental data imply that synaptic contacts on motoneurones made by these common inputs lie on average peripherally in the dendritic tree and generate small (less than 300 microV) EPSPs superimposed on a high level of background synaptic noise. 4. Minima (troughs) were found either side of the central peak in 27% of the cross-correlograms studied, and their appearance was invariably associated with a large central peak. These secondary features could not be modelled with the same operator parameters that describe the central peaks. Their presence was particularly noticed in association with very regular discharges from the output motoneurones. 5. Smaller and broader secondary peaks symmetrically displaced 30-55 ms either side of the large, narrow central peak were observed in 7% of the cross-correlograms studied. We suggest that these secondary features which were found at lags shorter than the interspike interval of the contributory motor unit spike trains reflect the autocorrelation functions of the spike trains of common input fibres. On this basis the observed displacement of these secondary peaks from the primary feature in the cross-correlogram indicate firing rates for common input fibres in the range 18-33 impulses s-1. 6. In a small number of cases (1.4%) the cross-correlogram was flat and indistinguishable from the results of cross-correlating independent spike train data.

Action Potentials↗

Variation in the degree of synchronization exhibited by motor units lying in different finger muscles in man.

1. Cross-correlation analysis was performed on the discharges of motor units recorded from the same or from different finger muscles during weak, voluntary isometric contractions in man. 2. In 88% of cases such cross-correlograms contained a narrow central peak indicating synchronization between the firing of the contributory motor units. Expressed in terms of the synchronization index, b (peak area/total number of reference plus response spikes) the amount of synchronization found in these different recordings ranged from b = 0.0057 to b = 0.1436 (n = 1230). The duration of the synchronization (measured across the base of the peak) ranged from 5 to 31 ms (mode = 13 ms). 3. For each pair of motor units examined the amount of synchronization between their firing varied from minute to minute of a long recording. In around half the cases studied this variation appeared to correspond to variation in the firing rates of the two motor units whereas in the other half of cases tested no relationship was found between the firing rates and the amount of synchronization. 4. Some motor unit pairings consistently showed more synchronization than other motor unit pairings within the same muscle. A frequency histogram of the synchrony measurements from all of the motor unit pairings tested in that muscle showed a unimodal and continuous distribution. 5. Some subjects consistently showed two or three times more motor unit synchronization than others in equivalent recordings. This rank order of motor unit synchronization in different subjects was found to be the same in all muscle pairings tested. 6. A similar distribution in the amount of motor unit synchronization found in different muscle pairings was found in all subjects tested. In the first place the firing of motor units which act on widely separated fingers was less synchronized than the firing of motor units acting on adjacent fingers. Secondly, motor units acting on the lateral fingers (thumb, index) showed less synchronization in their discharges than motor units acting on medial fingers (ring, little). Finally the firing of motor units in the finger flexor muscles were less synchronized than the firing of motor units in either the finger abductor or the finger extensor muscles. 7. The synchronization of motor unit activity in different muscles indicates the presence of a widespread projection pattern for the branches of some last-order input fibres to finger muscle motoneurones.(ABSTRACT TRUNCATED AT 400 WORDS)

Action Potentials↗

Central nervous pathways underlying synchronization of human motor unit firing studied during voluntary contractions.

1. Motor unit firing has been studied during weak voluntary isometric contractions with pairs of needle electrodes in normal human subjects. 2. Pre- and post-stimulus time histograms of the firing time of firing of one event unit before and after the time of firing of another reference (stimulus) unit showed a clear central peak, indicative of synchronization. 3. Synchronization was seen in all the muscles studied. The mean strength of synchronization, expressed as the number of concomitant discharges of the two units as a proportion of the number of stimulus unit discharges, was 0.095 extra event unit spikes/reference unit spike (range 0.042-0.28) for first dorsal interosseous muscle, 0.016 extra event unit spikes per reference unit spike (range 0-0.043) for medial gastrocnemius and 0.056 extra event unit spikes per reference unit spike range 0.016-0.079) for tibialis anterior. 4. The mean duration of synchronization was 11.3 ms (range 5.0-21.0 ms) for first dorsal interosseous, 10.3 ms (range 3.5-21.7 ms) for medial gastrocnemious and 13.5 ms (range 3.0-25.0) for tibialis anterior. 5. Seven patients with radiographically and clinically identified central strokes were studied while they made weak voluntary isometric contractions. The duration of synchronization was significantly prolonged compared to that found in normal subjects. In these stroke patients the mean duration of synchronization on the affected side was longer than that seen in the normal subjects, and in first dorsal interosseous muscle was 35.4 ms (range 12.0-65.0 ms), in medial gastrocnemius was 21.3 ms (range 4.0-43.0 ms) and in tibialis anterior was 28.8 ms (range 14.0-49.0 ms). 6. The mean strength of synchronization of motor unit discharge was found to be greater in the stroke patients than that seen in the normal subjects for first dorsal interosseous muscle (0.161 extra event unit spikes per reference unit spike, range 0.017-0.391) and for medial gastrocnemius (0.030 extra event unit spikes per reference unit spike) but only significantly so when pooled data was compared. There was no difference in the strength of motor unit synchronization in tibialis anterior between stroke patients and normal subjects. 7. Broad duration synchronization among first dorsal interosseous motor units was also found in a patient with a rostral cervical spine lesion (total duration range 43-46 ms; n = 2), but not in a patient with a caudal (thoracic) spinal lesion.(ABSTRACT TRUNCATED AT 400 WORDS)

Action Potentials↗

Effect of task on the degree of synchronization of intrinsic hand muscle motor units in man.

1. Recordings were made of the firing of pairs of intrinsic hand muscle motor units active under different task conditions in man. The different tasks were defined as isometric contractions producing force in one of three different directions: finger abduction, finger extension, or finger flexion. The degree of motor-unit synchronization associated with each of these task conditions was compared with the use of cross-correlation analysis. 2. The average amount of synchronization between the firing of motor units recorded from within first dorsal interosseous muscle (IDI) was greater during index finger extension than during index finger abduction (n = 8 motor-unit pairings, 3 subjects). In addition, for another sample population of motor units, the average amount of synchronization was greater during index finger abduction than during index finger flexion (n = 11 motor-unit pairings, 4 subjects). 3. In a further series of experiments, one motor unit of each pair was recorded from second dorsal interosseous muscle (2DI), whereas the other motor unit of each pair was recorded from 1DI. The average amount of synchronization for these motor-unit pairings was greater during extension of the index and middle fingers than during abduction of the index and middle fingers (n = 8, 4 subjects). For another sample population of such motor-unit pairings, the average amount of synchronization was found to be greater during abduction of the index and middle fingers than during flexion of the index and middle fingers (n = 11, 4 subjects). 4. In approximately one-third of cases, it was not found possible to maintain the same firing rates from two motor units in 1DI when active under different task conditions. For instance, the "reference" motor unit might consistently fire at a faster rate than the "response" motor unit when active during index finger extension but consistently fire at a slower rate than the response motor unit when active during index finger abduction. Where such motor-unit pairs have been studied in detail, the pattern of task dependence in their synchronization was found to be similar to that described above for motor-unit pairs in which the firing rates remained constant under the different task conditions.(ABSTRACT TRUNCATED AT 400 WORDS)

Adult↗

Plasticity of central motor pathways in children with hemiplegic cerebral palsy.

To obtain neurophysiologic evidence for a reorganization of central motor pathways in children who had suffered a cerebral lesion at birth, we performed cross-correlation analyses of multiunit EMG recordings obtained from children with hemiplegic cerebral palsy and marked mirror movements. We found that the motoneuron pools of homologous left and right hand muscles received common synaptic input from abnormally branched presynaptic axons. The results of electromagnetic brain stimulation, cutaneomuscular, and tendon reflex testing suggested that these common inputs are provided by abnormally branched corticospinal tract fibers whose origin is the undamaged motor cortex.

Cerebral Palsy↗

Diversity of pilin of serologically distinct Bacteroides nodosus.

Pili from 11 distinct serotypes of Bacteroides nodosus were examined for diversity of pilin polypeptide subunits among serotypes and for purity of the pilin preparations. The pilin of all 11 samples was shown to be homogeneous. Mean +/- SD molecular weight of the pilin of 7 serotypes (A198, IV, V, VI, IX, XVII, and XVIII) was 18,500 +/- 100. The pilin of serotypes I, III, and VIII had molecular weight of 17,600, 19,400, and 19,000, respectively. Serotype XV differed greatly from the other 10 serotypes in that 2 distinct polypeptide bands with molecular weight of approximately 7,800 and 6,200 were detected. We suggest that these 2 low molecular weight bands resulted from proteolytic cleavage of the pilin protein.

Bacteroides↗

Monoclonal antibodies against pili of serologically distinct Bacteroides nodosus.

Several monoclonal antibodies (McAbs) against pili of Bacteroides nodosus were examined to determine their reactivity with 11 different serotypes. One McAb was identified by enzyme-linked immunosorbent assay (ELISA) analysis that bound to nine of the 11 serotypes and another that bound to the remaining two serotypes tested. In addition, some McAbs demonstrated specificity for a single serotype, while others displayed specificities for up to five other serotypes. Comparison of immunoblot analysis with the ELISA revealed that the former method was not as sensitive in that all McAbs positive by the ELISA, were not positive by immunoblot. Possible explanations of these findings are discussed. There appear to be several antigenic determinants on B. nodosus pili and considerable sharing of these determinants between pili types. The 11 serotypes analyzed by the McAbs in this report are representative of all 20 US serotypes as well as the A-set and D-set categories of Australia. Therefore, the two epitopes recognized by two of the McAbs reported herein encompass all of the currently characterized B. nodosus serotypes and may provide a basis for bivalent vaccines efficacious for all types of B. nodosus induced footrot in sheep.

Animals↗

Synchronization of motor unit activity during voluntary contraction in man.

1. Motor unit synchronization has been studied in human first dorsal interosseous muscle. 2. Two needle electrodes were inserted into the muscle and the activity of pairs of motor units recorded. 3. Pre- and post-stimulus histograms of the firing of unit pairs showed a narrow central peak of duration 1.3-9.3 ms (88% of sample in the range 1-6 ms; mode 3.0 ms), together with a variable amount of synchronization of somewhat longer duration. 4. For the duration of the whole synchronization peak (85% sample in range 5-15 ms; mode between 6.1 and 8.0 ms (31% of sample], units fired between 8 and 485% times more often than would have been expected had the units been firing independently of one another. Amplitudes of the peak of the recorded histograms expressed as a proportion of control ranged from 1.8 to 10.9 (mean 3.9; bin width 160 microseconds). 5. The strength of synchronization between the firing of motor unit pairs was inversely related to differences in recruitment threshold. The largest amount of synchronization was observed for pairs of units in which both had recruitment thresholds less than 0.5 N or greater than 1.0 N. Less synchronization was found between pairs of units in which one had a recruitment threshold less than 0.05 N and the other a threshold greater than 1.0 N. 6. The time course of synchronization was well matched by the predictions of a theoretical model based on the hypothesis that underlying the observed synchronization is the joint arrival of EPSPs from branched last-order input fibres.

Action Potentials↗

Maturation of the cutaneomuscular reflex recorded from the first dorsal interosseous muscle in man.

1. Cutaneous reflexes have been recorded from the first dorsal interosseous muscle following electrical stimulation of the digital nerves of the index finger in man. Recordings have been obtained from 127 children, aged from 3 to 18 years while each performed an isometric abduction of the index finger and whole hand grips. 2. In the adult, reflexes recorded while subjects performed an isometric abduction of the index finger consisted of three readily identifiable components within the first 100 ms. These were an initial short spinal latency increase in EMG (E1), followed by a decrease (I1), followed by a prominent longer-latency increase (E2) which was normally larger in size than the shorter-latency increase. 3. The configuration of the reflex changed during development. When recorded during an abduction, the E1 component was present in all children and showed a small but progressive reduction in size with age. With increasing age, both the I1 and E2 components were present in an increasing proportion of children and increased in size until the adult configuration was reached at 14-15 years. 4. Comparison of reflexes recorded during sustained whole hand grips with reflexes recorded during an isometric index finger abduction revealed differences in all three components. When recorded during those grips used in the present study the E1 component was generally significantly larger while the I1 component was generally significantly smaller than when recorded during index finger abduction. At all ages the E2 component was significantly smaller when recorded during a grip. 5. The configuration of the reflex during an isometric index finger abduction was compared with the ability of the child to perform rapid finger movements. Those children who had no E2 component tended not to perform well in the tests of rapid finger movement. However, there was no simple relationship between the size of the E2 component and ability to produce rapid finger movements.

Adolescent↗